Authorization Language

I authorize ClearClaim and its designated operators to act as my remote medical-bill advocate for the case I am opening. Specifically, I authorize ClearClaim to:

• Request, receive, and review itemized bills, EOBs, account statements, and related billing records from hospitals, providers, billing companies, and insurers
• Contact those parties by phone, mail, fax, or secure portal on my behalf regarding coding, charges, financial assistance, and balance resolution
• Negotiate adjustments, payment plans, charity-care applications, and settlements of the balances associated with this case
• Share only the information reasonably necessary to perform the advocacy services I hired ClearClaim to provide

I understand ClearClaim is not a law firm, does not provide legal advice, and does not practice medicine. This authorization is for billing advocacy and negotiation only. I may revoke this authorization by written notice to hello@getclearclaim.com; revocation does not affect actions already taken in good faith.

My checkbox acceptance at intake constitutes my electronic signature under applicable e-sign laws for this authorization.